MM of Lexington LLC
Organization Active NPI Skilled Nursing Facility · Lexington, OK
NPI 1871580720 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1871580720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 375491 (OK)
- Legal business name
- MM OF LEXINGTON LLC
- Practice address
- 301 W Broadway St
Lexington, OK 73051-8960 - Phone
- (405) 527-6519
- Fax
- (405) 527-1537
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Joe Scearce
- Title
- Owner
- Phone
- (405) 527-6519
Owners & managing parties with NPI records 1
-
Audra C Scearce, D.O.
Practitioners 2
-
James B Krablin, MD
-
Audra C Scearce, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Broadway Living Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 29, 2005
- Medicare certification status
- Active
- Certified beds
- 101 · 83.0 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0724035 | Broadway Living Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Skilled nursing facility certification: CCN 375491
- Legal name
- MM OF LEXINGTON LLC
- Doing business as
- BROADWAY LIVING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 29, 2005
- Last certification
- Mar 18, 2024
- Beds
- 101
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Non-profit
- Incorporated
- Aug 27, 2003 in OK
- Enrollment address
- 301 W Broadway St
Broadway Living Center
Lexington, OK 73051-8951 - Nursing home name
- BROADWAY LIVING CENTER
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Joe Scearce |
5% Or Greater Direct Ownership Interest | Aug 27, 2003 | |
| Corporate Director | Sep 1, 2004 | ||
| W-2 Managing Employee | Sep 1, 2004 | ||
| Audra C Scearce |
5% Or Greater Direct Ownership Interest | Aug 27, 2003 | |
| Corporate Director | Aug 27, 2003 | ||
| W-2 Managing Employee | Aug 27, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051205000815 | OK | Part a Provider - Skilled Nursing Facility | 6800816836 | Practice locations: Lexington, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 375491 | OK | Yes |
Addresses
Primary practice location
301 W Broadway St
Lexington, OK 73051-8960
Mailing address
301 W Broadway St
Lexington, OK 73051-8960
Phone (405) 527-6519
Other names
- Broadway Living Center
Other providers in Lexington, OK
- James B Krablin
- Lexington Nursing Home, Inc.
- Lexington Public Schools
- Alan R. McDonald
- Wendell Edward Miles
- Bonnie Parsons
- Cheryl Renee Partridge
- Rhonda Gaye Pruett
- Kelly Dee Rabe
- Shara Marie Rollins
All providers in Lexington, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.